Certified Provider Credentialing Specialist (CPCS) Study Guide with Complete Solutions

Certified Provider Credentialing Specialist (CPCS) Study Guide with Complete SolutionsCertified Provider Credentialing Specialist (CPCS) Study Guide with Complete SolutionsCertified Provider Credentialing Specialist (CPCS) Study Guide with Complete SolutionsCertified Provider Credentialing Specialist (CPCS) Study Guide with Complete Solutions Certified Provider Credentialing Specialist - ANSWER-The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC - ANSWER-All licensed Independent practitioners must be credentialed and privileged through the organized Medical staff structure Initial Appointment / Clinical privileges/ practioners covered according to the NCQA - ANSWER-HP's and MBHO's must have documented Credentialing policies and procedures that apply to all practitioners who provide care to the organizations members Initial Appointment / Clinical privileges/ practioners covered according to CMS - ANSWER-The Governing body determines, in accordance with Staye Law, which categories of practitioners are eligible for appointment to the medical staff. At a